Resorbable mesh as a containment system in reconstruction of the atrophic mandible fracture

Purpose: The purpose of this article is to introduce the use of a resorbable material (L-lactide, Co DL-lactide) to help contain the bone graft used during the reconstruction of the edentulous atrophic mandibular fracture. Technique: After the mandibular fracture was reduced and fixated with a large reconstruction plate, the resorbable mesh was contoured with scissors and a hot water bath. The mesh was secured into position with 1.5-mm tacks to the inferior border or buccal cortical plate of the mandible. The material was then filled with particulate bone graft harvested from the medial aspect of the anterior iliac crest. Results: Two patients had augmentation of the superior aspect of the mandible and one patient had augmentation of the inferior aspect of the mandible. All patients were augmented at least 10 to 12 millimeters. The mean follow-up was 25 months. All went on to heal to complete bony union. Conclusion: This material can be used as a containment system when bone grafting the edentulous atrophic mandible fracture. (C) 2004 American Association of Oral and Maxillofacial Surgeons.